CA2633167A1 - Pharmaceutical compositions of combinations of dipeptidyl peptidase-4 inhibitors with metformin - Google Patents
Pharmaceutical compositions of combinations of dipeptidyl peptidase-4 inhibitors with metformin Download PDFInfo
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- A61K9/00—Medicinal preparations characterised by special physical form
- A61K9/20—Pills, tablets, discs, rods
- A61K9/2072—Pills, tablets, discs, rods characterised by shape, structure or size; Tablets with holes, special break lines or identification marks; Partially coated tablets; Disintegrating flat shaped forms
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- A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
- A61K31/495—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with two or more nitrogen atoms as the only ring heteroatoms, e.g. piperazine or tetrazines
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Abstract
Disclosed are pharmaceutical compositions comprising fixed-dose combinations of a dipeptidyl peptidase-4 inhibitor and metformin, methods of preparing such pharmaceutical compositions, and methods of treating Type 2 diabetes with such pharmaceutical compositions.
Description
TITLE OF THE INVENTION
INHIBITORS WITH METFORMIN
BACKGROUND OF THE INVENTION
Type 2 diabetes is a chronic and progressive disease arising from a complex pathophysiology involving the dual endocrine defects of insulin resistance and impaired insulin secretion. The treatment of Type 2 diabetes typically begins with diet and exercise, followed by oral antidiabetic monotherapy. For many patients, these regimens do not sufficiently control glycaernia during long-term treatment, leading to a requirement for combination therapy within several years following diagnosis. However, co-prescription of two or more oral antidiabetic drugs may result in treatment regimens that are complex and difficult for many patients to follow.
Combining two or more oral antidiabetic agents into a single tablet provides a potential means of delivering combination therapy without adding to the complexity of patients' daily regimens. Such formulations have been well accepted in other disease indications, such as hypertension (HYZAAR.T"f which is a combination of losartan potassium and hydrochlorothiazide) and cholesterol lowering (VYTORINTM which is a combination of simvastatin and ezetimibe). The selection of effective and well-tolerated treatments is a key step in the design of a combination tablet. Moreover, it is essential that the components have complementary mechanisms of action and compatible pharmacokinetic profiles. Examples of marketed combination tablets containing two oral antidiabetic agents include GlucovanceTM
(metformin and glyburide), AvandametTM (metformin and rosiglitazone), and MetaglipTM (metformin and glipizide).
Metformin represents the only oral antidiabetic agent proven to reduce the total burden of microvascular and macrovascular diabetic complications and to prolong the lives of Type 2 diabetic patients. Furthermore, metformin treatment is often associated with reductions in body weight in overweight patients and with improvements in lipid profiles in dyslipidemic patients.
Dipeptidyl peptidase=4 (DPP-4) inhibitors represent a novel class of agents that are being developed for the treatment or improvement in glycemic control in patients with Type 2 diabetes.
Specific DPP-4 inhibitors currently in clinical trials for the treatment of Type 2 diabetes include sitagliptin phosphate (MK-043 1), vildagliptin (LAF-237), saxagliptin (BMS-47718), P93/01 (Prosidion), SYR322 (Takeda), GSK 823093, Roche 0730699, TS021 (Taisho), E3024 (Eisai), and (Phenomix). For example, oral administration of vildagliptin or sitagliptin to human Type 2 diabetics has been found to reduce fasting glucose and postprandial glucose excursion in association with significantly reduced HbAl c levels. For reviews on the'application of DPP-4 inhibitors for the treatment of Type 2 diabetes, reference is made to the following publications: (1) H.-U. Demuth, et al., "Type 2 diabetes -Therapy with dipeptidyl peptidase IV inhibitors, Biochim. Biophys. Acta, 1751:
33-44 (2005) and (2) K.
Augustyns, et al., "Inhibitors of proline-specific dipeptidyl peptidases: DPP
IV inhibitors as a novel approach for the treatment of Type 2 diabetes," Expert Opin. Ther. Patents, 15: 1387-1407 (2005).
Sitagliptin phosphate having structural formula I below is the dihydrogenphosphate salt of (2R)-4-oxo-4-[3-(trifluoromethyl)-5,6-dihydro[1,2,4]triazolo[4,3-a]pyrazin-7(81I)-yl]-1-(2,4,5-trifluorophenyl)butan-2-amine.
F
N N, N =H2P04 F N , In one embodiment sitagliptin phosphate is in the form of a crystalline anhydrate or monohydrate. In a class of this embodiment, sitagliptin phosphate is in the form of a crystalline monohydrate. Sitagliptin free base and pharmaceutically acceptable salts thereof are disclosed in U.S.
Patent No. 6,699,871, the contents of which are hereby incorporated by reference in their entirety.
Crystalline sitagliptin phosphate monohydrate is disclosed in international patent publication WO 2005/0031335 published on January 13, 2005. For a review on sitagliptin phosphate (MK-043 1) including its synthesis and pharmacological properties, reference is made to the following publications: (1) C.F. Deacon, "MK-431," Curr. Opin.
Invest. Drugs, 6: 419-426 (2005) and (2) "MK.-0431",. Drugs of the Future,"
30: 337-343 (2005).
Vildagliptin (LA.F-237) is the generic name for (S)-1-[(3-hydroxy-1-adarnantyl)amino]acetyl-2-cyano-pyrrolidine having structural formula II.
Vildagliptin is specifically disclosed in US Patent No. 6,166,063, the contents of which are hereby incorporated by reference in their entirety.
HO N
H
o NC
(II) Saxagliptin (BMS-47718) is a methanoprolinenitrile of structural formula III
below.
Saxagliptin is specifically disclosed in US Patent No. 6,395,767, the contents of which are hereby incorporated by reference in their entirety.
p CN
HO N~.J
NH2 =,, ;
(111) The present invention provides for pharmaceutical compositions of a fixed-dose combination of a DPP-4 inhibitor and metformin which are prepared by dry or wet processing methods.
The pharmaceutical compositions of the present invention provide for immediate release of the two active pharmaceutical ingredients. In one embodiment the pharmaceutical compositions of the present invention are in the dosage form of a tablet, and, in particular, a film-coated tablet.
The present invention also provides a process to prepare pharmaceutical compositions of a fixed-dose combination of a DPP-4 inhibitor and metformin by dry or wet processing methods. The dry processing methods include dry compression and dry granulation, and the wet processing methods include wet granulation.
Another aspect of the present invention provides methods for the treatment of Type 2 diabetes by administering to a host in need of such treatment a therapeutically effective amount of a pharmaceutical composition of the present invention.
These and other aspects will become readily apparent from the detailed description which follows.
SUMMARY OF THE INVENTION
The present invention is directed to novel pharmaceutical compositions comprising fixed dose combinations of a DPP-4 inhibitor and metformin, or pharmaceutically acceptable salts of each thereof, methods of preparing such pharmaceutical compositions, and methods of treating Type 2 diabetes with such pharmaceutical compositions. In particular, the invention is directed to pharmaceutical compositions comprising fixed-dose combinations of sitagliptin phosphate and metformin hydrochloride.
DETAILED DESCRIPTION OF THE INVENTION
One aspect of the present invention is directed to dosage forms for the medicinal administration of a fixed-dose combination of a DPP-4 inhibitor and metformin.
Such dosage forms may be in the powder or solid format and include tablets, capsules, sachets, etc.
A particular solid dosage form relates to tablets comprising a fixed-dose combination of a DPP-4 inhibitor and metformin hydrochloride (1,1-dimethylbiguanide hydrochloride).
In a particular aspect of the present irivention, the pharmaceutical compositions comprise (1) a DPP-4 inhibitor, or a pharmaceutically acceptable salt thereof, as one of the two active pharmaceutical ingredients; (2) metformin hydrochloride as the second active pharmaceutical ingredient;
and (3) a lubricant or glidant_ In an embodiment of this aspect of the present invention, the pharmaceutical compositions may also contain one or more excipients which excipients are selected from the group consisting of one or more binding agents (binders); one or more diluents; one or more surfactants or wetting agents; one or more disintegrants; and one or more antioxidants.
INHIBITORS WITH METFORMIN
BACKGROUND OF THE INVENTION
Type 2 diabetes is a chronic and progressive disease arising from a complex pathophysiology involving the dual endocrine defects of insulin resistance and impaired insulin secretion. The treatment of Type 2 diabetes typically begins with diet and exercise, followed by oral antidiabetic monotherapy. For many patients, these regimens do not sufficiently control glycaernia during long-term treatment, leading to a requirement for combination therapy within several years following diagnosis. However, co-prescription of two or more oral antidiabetic drugs may result in treatment regimens that are complex and difficult for many patients to follow.
Combining two or more oral antidiabetic agents into a single tablet provides a potential means of delivering combination therapy without adding to the complexity of patients' daily regimens. Such formulations have been well accepted in other disease indications, such as hypertension (HYZAAR.T"f which is a combination of losartan potassium and hydrochlorothiazide) and cholesterol lowering (VYTORINTM which is a combination of simvastatin and ezetimibe). The selection of effective and well-tolerated treatments is a key step in the design of a combination tablet. Moreover, it is essential that the components have complementary mechanisms of action and compatible pharmacokinetic profiles. Examples of marketed combination tablets containing two oral antidiabetic agents include GlucovanceTM
(metformin and glyburide), AvandametTM (metformin and rosiglitazone), and MetaglipTM (metformin and glipizide).
Metformin represents the only oral antidiabetic agent proven to reduce the total burden of microvascular and macrovascular diabetic complications and to prolong the lives of Type 2 diabetic patients. Furthermore, metformin treatment is often associated with reductions in body weight in overweight patients and with improvements in lipid profiles in dyslipidemic patients.
Dipeptidyl peptidase=4 (DPP-4) inhibitors represent a novel class of agents that are being developed for the treatment or improvement in glycemic control in patients with Type 2 diabetes.
Specific DPP-4 inhibitors currently in clinical trials for the treatment of Type 2 diabetes include sitagliptin phosphate (MK-043 1), vildagliptin (LAF-237), saxagliptin (BMS-47718), P93/01 (Prosidion), SYR322 (Takeda), GSK 823093, Roche 0730699, TS021 (Taisho), E3024 (Eisai), and (Phenomix). For example, oral administration of vildagliptin or sitagliptin to human Type 2 diabetics has been found to reduce fasting glucose and postprandial glucose excursion in association with significantly reduced HbAl c levels. For reviews on the'application of DPP-4 inhibitors for the treatment of Type 2 diabetes, reference is made to the following publications: (1) H.-U. Demuth, et al., "Type 2 diabetes -Therapy with dipeptidyl peptidase IV inhibitors, Biochim. Biophys. Acta, 1751:
33-44 (2005) and (2) K.
Augustyns, et al., "Inhibitors of proline-specific dipeptidyl peptidases: DPP
IV inhibitors as a novel approach for the treatment of Type 2 diabetes," Expert Opin. Ther. Patents, 15: 1387-1407 (2005).
Sitagliptin phosphate having structural formula I below is the dihydrogenphosphate salt of (2R)-4-oxo-4-[3-(trifluoromethyl)-5,6-dihydro[1,2,4]triazolo[4,3-a]pyrazin-7(81I)-yl]-1-(2,4,5-trifluorophenyl)butan-2-amine.
F
N N, N =H2P04 F N , In one embodiment sitagliptin phosphate is in the form of a crystalline anhydrate or monohydrate. In a class of this embodiment, sitagliptin phosphate is in the form of a crystalline monohydrate. Sitagliptin free base and pharmaceutically acceptable salts thereof are disclosed in U.S.
Patent No. 6,699,871, the contents of which are hereby incorporated by reference in their entirety.
Crystalline sitagliptin phosphate monohydrate is disclosed in international patent publication WO 2005/0031335 published on January 13, 2005. For a review on sitagliptin phosphate (MK-043 1) including its synthesis and pharmacological properties, reference is made to the following publications: (1) C.F. Deacon, "MK-431," Curr. Opin.
Invest. Drugs, 6: 419-426 (2005) and (2) "MK.-0431",. Drugs of the Future,"
30: 337-343 (2005).
Vildagliptin (LA.F-237) is the generic name for (S)-1-[(3-hydroxy-1-adarnantyl)amino]acetyl-2-cyano-pyrrolidine having structural formula II.
Vildagliptin is specifically disclosed in US Patent No. 6,166,063, the contents of which are hereby incorporated by reference in their entirety.
HO N
H
o NC
(II) Saxagliptin (BMS-47718) is a methanoprolinenitrile of structural formula III
below.
Saxagliptin is specifically disclosed in US Patent No. 6,395,767, the contents of which are hereby incorporated by reference in their entirety.
p CN
HO N~.J
NH2 =,, ;
(111) The present invention provides for pharmaceutical compositions of a fixed-dose combination of a DPP-4 inhibitor and metformin which are prepared by dry or wet processing methods.
The pharmaceutical compositions of the present invention provide for immediate release of the two active pharmaceutical ingredients. In one embodiment the pharmaceutical compositions of the present invention are in the dosage form of a tablet, and, in particular, a film-coated tablet.
The present invention also provides a process to prepare pharmaceutical compositions of a fixed-dose combination of a DPP-4 inhibitor and metformin by dry or wet processing methods. The dry processing methods include dry compression and dry granulation, and the wet processing methods include wet granulation.
Another aspect of the present invention provides methods for the treatment of Type 2 diabetes by administering to a host in need of such treatment a therapeutically effective amount of a pharmaceutical composition of the present invention.
These and other aspects will become readily apparent from the detailed description which follows.
SUMMARY OF THE INVENTION
The present invention is directed to novel pharmaceutical compositions comprising fixed dose combinations of a DPP-4 inhibitor and metformin, or pharmaceutically acceptable salts of each thereof, methods of preparing such pharmaceutical compositions, and methods of treating Type 2 diabetes with such pharmaceutical compositions. In particular, the invention is directed to pharmaceutical compositions comprising fixed-dose combinations of sitagliptin phosphate and metformin hydrochloride.
DETAILED DESCRIPTION OF THE INVENTION
One aspect of the present invention is directed to dosage forms for the medicinal administration of a fixed-dose combination of a DPP-4 inhibitor and metformin.
Such dosage forms may be in the powder or solid format and include tablets, capsules, sachets, etc.
A particular solid dosage form relates to tablets comprising a fixed-dose combination of a DPP-4 inhibitor and metformin hydrochloride (1,1-dimethylbiguanide hydrochloride).
In a particular aspect of the present irivention, the pharmaceutical compositions comprise (1) a DPP-4 inhibitor, or a pharmaceutically acceptable salt thereof, as one of the two active pharmaceutical ingredients; (2) metformin hydrochloride as the second active pharmaceutical ingredient;
and (3) a lubricant or glidant_ In an embodiment of this aspect of the present invention, the pharmaceutical compositions may also contain one or more excipients which excipients are selected from the group consisting of one or more binding agents (binders); one or more diluents; one or more surfactants or wetting agents; one or more disintegrants; and one or more antioxidants.
In another embodiment of this aspect of the invention, the DPP-4 inhibitor is selected from the group consisting of sitagliptin, vildagliptin, saxagliptin, P93/01, SYR322, GSK 823093, Roche 0730699, TS021, E3024, and PHX-1149. In a class of this embodiment the DPP-4 inhibitor is sitagliptin, vildagliptin, or saxagliptin. In a subclass of this class, the DPP-4 inhibitor is sitagliptin.
A preferred pharmaceutically acceptable salt of sitagliptin is the dihydrogenphophate salt of structural formula I above (sitagliptin phosphate). A preferred form of the dihydrogenphosphate salt is the crystalline monohydrate disclosed in WO 2005/0031335.
The preparation of sitagliptin and pharmaceutically acceptable salts thereof is disclosed in US Patent No. 6,699,871, the contents of which are herein incorporated by reference in their entirety.
The preparation of sitagliptin phosphate monohydrate is disclosed in international patent publication WO
2005/0031335 published on January 13, 2005, the contents of which are herein incorporated by reference in their entirety.
The dosage strength of the DPP-4 inhibitor for incorporation into the pharmaceutical compositions of the present invention is an amount from about 1 milligram to about 250 milligrams of 15, the active moiety_ A preferred dosage strength of the DPP-4 inhibitor is an amount from about 25 milligrams to about 200 milligrams of the active moiety.. Discrete dosage strengths are the equivalent of 25, 50, 75, 100, 150, and 200 milligrams of the DPP-4 inhibitor active moiety.
By "active moiety" is meant the free base form of the DPP-4 inhibitor as an anhydrate.
The unit dosage strength of sitagliptin free base anhydrate (active moiety) for inclusion ' into the fixed-dose combination pharmaceutical compogitions of the present invention is 25, 50, 75, 100, 150, or 200 milligrams. A preferred dosage strength of sitagliptin is 50 or 100 milligrams. An equivalent amount of sitagliptin phosphate monohydrate to the sitagliptin free base anhydrate is used in the pharmaceutical compositions, namely, 32.13, 64.25, 96.38, 128.5, 192.75, and 257 milligrams, respectively.
The unit dosage strength of the metformin hydrochloride for incorporation into the fixed-dose combination of the present invention is 250, 500, 625, 750, 850, and 1000 milligrams. These unit dosage strengths of metformin hydrochloride represent the dosage strengths approved in the U.S. for marketing to treat Type 2 diabetes.
Specific, embodiments of dosage strengths for sitagliptin and metformin hydrochloride in the fixed-dose combinations of the present invention are the following:
(1) 50 milligrams of sitagliptin (equivalent to 64.25 milligrams of sitagliptin phosphate monohydrate) and 500 milligrams metforrnin hydrochloride;
(2) 50 milligrams of sitagliptin (equivalent to 64.25 milligrams of sitagliptin phosphate monohydrate) and 850 milligrams metformin hydrochloride;
(3) 50 milligrams of sitagliptin (equivalent to 64.25 milligrams of sitagliptin phosphate monohydrate) and 1000 milligrams metformin hydrochloride;
A preferred pharmaceutically acceptable salt of sitagliptin is the dihydrogenphophate salt of structural formula I above (sitagliptin phosphate). A preferred form of the dihydrogenphosphate salt is the crystalline monohydrate disclosed in WO 2005/0031335.
The preparation of sitagliptin and pharmaceutically acceptable salts thereof is disclosed in US Patent No. 6,699,871, the contents of which are herein incorporated by reference in their entirety.
The preparation of sitagliptin phosphate monohydrate is disclosed in international patent publication WO
2005/0031335 published on January 13, 2005, the contents of which are herein incorporated by reference in their entirety.
The dosage strength of the DPP-4 inhibitor for incorporation into the pharmaceutical compositions of the present invention is an amount from about 1 milligram to about 250 milligrams of 15, the active moiety_ A preferred dosage strength of the DPP-4 inhibitor is an amount from about 25 milligrams to about 200 milligrams of the active moiety.. Discrete dosage strengths are the equivalent of 25, 50, 75, 100, 150, and 200 milligrams of the DPP-4 inhibitor active moiety.
By "active moiety" is meant the free base form of the DPP-4 inhibitor as an anhydrate.
The unit dosage strength of sitagliptin free base anhydrate (active moiety) for inclusion ' into the fixed-dose combination pharmaceutical compogitions of the present invention is 25, 50, 75, 100, 150, or 200 milligrams. A preferred dosage strength of sitagliptin is 50 or 100 milligrams. An equivalent amount of sitagliptin phosphate monohydrate to the sitagliptin free base anhydrate is used in the pharmaceutical compositions, namely, 32.13, 64.25, 96.38, 128.5, 192.75, and 257 milligrams, respectively.
The unit dosage strength of the metformin hydrochloride for incorporation into the fixed-dose combination of the present invention is 250, 500, 625, 750, 850, and 1000 milligrams. These unit dosage strengths of metformin hydrochloride represent the dosage strengths approved in the U.S. for marketing to treat Type 2 diabetes.
Specific, embodiments of dosage strengths for sitagliptin and metformin hydrochloride in the fixed-dose combinations of the present invention are the following:
(1) 50 milligrams of sitagliptin (equivalent to 64.25 milligrams of sitagliptin phosphate monohydrate) and 500 milligrams metforrnin hydrochloride;
(2) 50 milligrams of sitagliptin (equivalent to 64.25 milligrams of sitagliptin phosphate monohydrate) and 850 milligrams metformin hydrochloride;
(3) 50 milligrams of sitagliptin (equivalent to 64.25 milligrams of sitagliptin phosphate monohydrate) and 1000 milligrams metformin hydrochloride;
(4) 100 milligrams of sitagliptin (equivalent to 128.5 milligrams of sitagliptin phosphate monohydrate) and 500 milligrams metformin hydrochloride;
(5) 100 milligrams of sitagliptin (equivalent to 128.5 milligrams of sitagliptin phosphate monohydrate) and 850 milligrams metforinin hydrochloride; and (6) 100 milligrams of sitagliptin (equivalent to 128.5 milligrams of sitagliptin phosphate monohydrate) and 1000 milligrams metformin hydrochloride.
The pharmaceutical compositions of the present invention are prepared by wet or dry processing methods. In one embodiment the pharmaceutical compositions are prepared by wet processing methods. In a class of this embodiment the pharmaceutical compositions are prepared by wet granulation methods. With wet granulation either high-shear granulation or fluid-bed granulation may be used. In one embodiment fluid-bed granulation is employed which has the advantage of affording tablets with higher diametric strength.
In a second embodiment the pharmaceutical compositions are prepared by dry processing methods. In a class of this embodiment the pharmaceutical compositions are prepared by direct compression or dry granulation methods. An embodiment of dry granulation is roller compaction.
The pharmaceutical compositions obtained by the dry or wet processing methods may be compressed into tablets, encapsulated, or metered into sachets.
The pharmaceutical compositions contain one or more lubricants or glidants.
Examples of lubricants include magnesium stearate, calcium stearate, stearic acid, sodium stearyl fumarate, hydrogenated castor oil, and mixtures thereof. A preferred lubricant is magnesiuzn stearate or sodium stearyl fumarate or a mixture thereof. Examples of glidants include colloidal silicon dioxide, calcium phosphate tribasic, magnesium silicate, and talc.
The pharmaceutical compositions of the present invention optionally contain one or more binding agents. Embodiments of binding agents include hydroxypropylcellulose (HPC), hydroxypropylmethyl cellulose (HMPC), hydroxyethyl cellulose, starch 1500, polyvinylpyrrolidone (povidone), and co-povidone. A preferred binding agent is polyvinylpyrrolidone.
The pharmaceutical compositions of the present invention may also optionally contain one or more diluents. Examples of diluents include mannitol, sorbitol, dibasic calcium phosphate dihydrate, microcrystalline cellulose, and powdered cellulose. A preferred diluent is microcrystalline cellulose. Microcrystalline cellulose is available from several suppliers and includes Avicel PH 101, Avicel PH 102, Avicel, PH 103, Avicel PH 105, and Avicel PH 200, manufactured by the FMC
Corporation.
The pharmaceutical compositions of the, present invention may also optionally coritain a disintegrant. The disintegrant may be one of several modified starches, modified cellulose polymers, or polycarboxylic acids, such as croscarmellose sodium, sodium starch glycollate, polacrillin potassium, and carboxymethylcellulose calcium (CMC Calcium). In one embodiment, the disintegrant is croscarmellose sodium. Croscarmellose sodium NF Type A is commercially available under the trade name "Ac-di-sol."
The pharmaceutical compositions of the present invention may also optionally contain one or more surfactants or wetting agents. The surfactant may be anionic, cationic, or neutral. Anionic surfactants include sodium lauryl sulfate, sodium dodecanesulfonate, sodium oleyl sulfate, and sodium laurate mixed with stearates and talc. Cationic surfactants include benzalkonium chlorides and alkyltrimethylammonium bromides. Neutral surfactants include glyceryl monooleate, polyoxyethylene sorbitan fatty acid esters, polyvinyl alcohol, and sorbitan esters.
Embodiments of wetting agents include poloxamer, polyoxyethylene alkyl ethers, polyoxyethylene castor oil derivatives, and polyoxyethylene stearates.
An anti-oxidant may optionally be added to the formulation to impart chemical stability.
The anti-oxidant is selected from the group consisting of a-tocopherol, -y-tocopherol, S-tocopherol, extracts of natural origin rich in tocopherol, L-ascorbic acid and its sodium or calcium salts, ascorbyl palmitate, propyl gallate, octyl gallate, dodecyl gallate, butylated hydroxytoluene (BHT), and butylated hydroxyanisole (BHA). In one embodiment, the antioxidant is BHT or BHA.
Preferred dosage forms for the pharmaceutical compositions of the present invention are tablets which are prepared by compression methods. Such tablets may be film-coated such as with a mixture of hydroxypropylcellulose and hydroxypropylmethylcellulose containing, titanium dioxide and/or other coloring agents, such as iron oxides, dyes, and lakes; a mixture of polyvinyl alcohol (PVA) and polyethylene glycol (PEG) containing titanium dioxide and/or other coloring agents, such as iron oxides, dyes, and lakes; or any other suitable immediate-release film-coating agent(s). The coat provides taste masking and additional stability to the final tablet. A commercial filrim-coat is Opadry which is a formulated powder blend provided by Colorcon.
Finally, a sweetening agent and/or flavoring agent may be added if desired.
In one embodiment of the present invention, the pharmaceutical compositions contain about 3 to 20 % by weight of a DPP-4 inhibitor as one of the two pharmaceutically active ingredients; about 25 to 94 % by weight of inetformin hydrochloride as the second pharmaceutically active ingredient; about 0 to 35 % by weight of a binding agent; and about 0.1to 10 % by weight of a lubricant. In a class of this embodiment the binding agent is polyvinylpyrrolidone or hydroxypropylcellulose, and the lubricant is magnesium stearate or sodium stearyl fumarate. In a subclass of this class, the binding agent is polyvinylpyrrolidone, and the lubricant is sodium stearyl fumarate. In another class the pharmaceutical compositions optionally contain about 0 to 3 ,/o by weight of a surfactant and/or about 0 to 70 %.by weight of a diluent. In a subclass of this class, the surfactant is sodium lauryl sulfate and the diluent is microcrystalline cellulose.
In a second embodiment the pharmaceutical compositions of the present invention are prepared by wet granulation methods and comprise about 5 to 18 % by weight of a DPP-4 inhibitor as one of the two pharmaceutically active ingredients; about 65 to 77 % by weight of metforrnin hydrochloride as the second pharmaceutically active ingredient;
about 4 to 9% by weight of a binding agent; and about 1 to 2 % by weight of a lubricant. In a class of this embodiment the binding agent is polyvinylpyrrolidone or hydroxypropylcellulose, and the lubricant is magnesium stearate or sodium stearyl fumarate. In a subclass of this class, the binding agent is polyvinylpyrrolidone. In another class the pharmaceutical compositions optionally contain about 0.5 to 1 % to by weight of a surfactant and/or about 5 to 15 % by weight of a diluent. In a subclass of this class, the surfactant is sodium lauryl sulfate and the diluent is microcrystalline cellulose.
In a further embodiment of the present invention, the pharmaceutical compositions as envisioned for cbmmercial development are as follows:
Tablets of 50 mg DPP-4 inhibitor/500 mg metformin HCI potency:
About 9 % by weight of the DPP-4 inhibitor; about 73 % by weight of metformin hydrochloride; about 7 % by weight of a binding agent; about 1 to 2 /o by weight of a lubricant; and optionally about 10 % by weight of a diluent and/or about 0.5 % by weight of a surfactant. In a class of this embodiment the DPP-4 inhibitor is sitagliptin, vildagliptin, or saxagliptin; the binding agent is polyvinylpyrrolidone, the lubricant is magnesium stearate or sodium stearyl fumarate, the diluent is microcrystalline cellulose, and the surfactant is sodium lauryl sulfate. In a subclass of this class, the DPP-4 inhibitor is sitagliptin.
Tablets of 50 ing DPP-4 inhibitor/850 mg metformin HCI potency:
About 6 % by weight of the DPP-4 inhibitor; about 76 % by weight of inetformin hydrochloride; about 7 % by weight of a binding agent; about 1 to 2 % by weight of a lubricant; and optionally about 10 % by weight of a diluent and/or about 0.5 % by weight of a surfactant. In a class of,;
this embodiment the DPP-4_inhibitor is sitagliptin, vildagliptin, or saxagliptin; the binding agent is polyvinylpyrrolidone, the lubricant is magnesium stearate or sodium stearyl fumarate, the diluent is microcrystalline cellulose, and the surfactant is sodium lauryl sulfate. In a subclass the DPP-4 inhibitor is sitagliptin.
Tablets of 50 mg DPP-4 inhibitor/1000 mq metformin HCI potency:
About 5 % by weight of the DPP-4 inhibitor; about 77 0 by weight of metformin hydrochloride; about 7 % by weight of a binding agent; about 1 to 2 % by weight of a lubricant; and optionally about 10 % by weight of a diluent and/or about 0.5 % by weight of a surfactant. In a class of this embodiment the DPP-4 inhibitor is sitagliptin, vildagliptin, or saxagliptin; the binding agent is polyvinylpyrrolidone, the lubricant is magnesium stearate or sodium stearyl fumarate, the diluent is microcrystalline cellulose., and the surfactant is sodium lauryl sulfate. In a subclass the DPP-4 inhibitor is sitagliptin.
Tablets of 100 mg DPP-4 inhibitor/500 mg metformin HCI potency:
About 17 % by weight of the DPP-4 inhibitor; about 65 % by weight of metformin hydrochloride; about 7 % by weight of a binding agent; about 1 to 2 1o by weight of a lubricant; and optionally about 9 1o by weight of a diluent and/or about 0.5 % by weight of a surfactant. In a class of this embodiment the DPP-4 inhibitor is sitagliptin, vildagliptin, or saxagliptin; the binding agent is polyvinylpyrrolidone, the lubricant is magnesium stearate or sodium stearyl fumarate, the diluent is microcrystalline cellulose, and the surfactant is sodium lauryl sulfate. In a subclass the DPP-4 inhibitor is sitagliptin.
Tablets of 100 mp., DPP-4 inhibitor/850 mg metformin HCI potency:
About 11% by weight of the DPP-4 inhibitor; about 75 % by weight of inetformin hydrochloride; about 7 % by weight of a binding agent; about 1 to 2 % by weight of a lubricant; and optionally about 4% by weight of a diluent and/or about 0.5 % by weight of a surfactant. In a class of this embodiment the DPP-4 inhibitor is sitagliptin, vildagliptin, or saxagliptin; the binding agent is polyvinylpyrrolidone, the lubricant is magnesium stearate or sodium stearyl fumarate, the diluent is microcrystalline cellulose, and the surfactant is sodium lauryl sulfate. In a subclass the DPP-4 inhibitor is sitagliptin.
Tablets of 100 mg DPP-4 inhibitor/1000 mg metformin HCI t2otency:
About,10 % by weight of the DPP-4 inhibitor; about 77% by weight of inetfornin hydrochloride; about 7 fo by weight of a binding agent; about 1 to 2 % by weight.of a lubricant; and optionally about 4% by weight of a diluent and/or about 0.5 % by weight of a surfactant. In a class of this embodiment the DPP-4 inhibitor is sitagliptin, vildagliptin, or saxagliptin; the binding agent is polyvinylpyrrolidone, the lubricant is magnesium stearate or sodium stearyl fumarate, the diluent is microcrystalline cellulose, and the surfactant is sodium lauryl sulfate. In a subclass the DPP-4 inhibitor is sitagliptin.
The pharmaceutical tablet compositions of the present invention may also contain one or more additionaI'formulation ingredients selected from a wide variety of excipients known in the pharmaceutical formulation art. According to the desired properties of the pharmaceutical composition, any number of ingredients may be selected, alone or in combination, based upon their known uses in preparing tablet compositions. Such ingredients include, but are not limited to, diluents, compression aids,, glidants, disintegrants, lubricants, flavors, flavor enhancers, sweeteners, and preservatives.
The term "tablet " as used herein is intended to encompass compressed pharmaceutical dosage formulations of all shapes and sizes, whether.coated or uncoated.
Substances which may be used for coating include hydroxypropylcellulose, hydroxypropylmethylcellulose, titanium dioxide, tale, sweeteners, colorants, and flavoring agents.
In one embodiment the pharmaceutical compositions of the present invention are prepared by wet granulation (high shear and/or fluid bed). Granulation is a process in which binding agent is added either through the granulating solution or through addition to the granulating bowl to form granules. The steps involved in the wet granulation method comprise the following:
(1) the active pharmaceutical ingredients metformin hydrochloride and the DPP-4 inhibitor are added to the granulating bowl;
(2) optional disintegrants are added to step 1;
(3) for high shear granulation, the binding agent (such as polyvinylpyrrolidone or hydroxypropylcellulose) is added dry to the granulating bowl and dry mixed for a short period followed by the addition of water with or without a surfactant (such as sodium lauryl sulfate). For fluid bed granulation, both active pharmaceutical ingredients are added to the granulator bowl and the granulating solution comprised of binding agent with or without surfactant in water is added upon fluidization;
(4) granules prepared by high shear granulation are tray-dried in an oven or dried in a fluid bed dryer.
For granules prepared by fluid bed granulation, granules are dried in a fluid bed dryer;
(5) dried granules are resized in suitable mill;
(6) optional diluents (such as microcrystalline cellulose and dibasic calcium phosphate dihydrate) are blended with dried granules in a suitable blender;
(7) lubricants or glidants (such as magnesium stearate and sodium stearyl fumarate) are added to the blend from step 6 in a suitable blender;
(8) lubricated granule mixture from step 7 may befilled into bottles, sachets, or capsules or compressed -20 into desired tablet image;
The pharmaceutical compositions of the present invention are prepared by wet or dry processing methods. In one embodiment the pharmaceutical compositions are prepared by wet processing methods. In a class of this embodiment the pharmaceutical compositions are prepared by wet granulation methods. With wet granulation either high-shear granulation or fluid-bed granulation may be used. In one embodiment fluid-bed granulation is employed which has the advantage of affording tablets with higher diametric strength.
In a second embodiment the pharmaceutical compositions are prepared by dry processing methods. In a class of this embodiment the pharmaceutical compositions are prepared by direct compression or dry granulation methods. An embodiment of dry granulation is roller compaction.
The pharmaceutical compositions obtained by the dry or wet processing methods may be compressed into tablets, encapsulated, or metered into sachets.
The pharmaceutical compositions contain one or more lubricants or glidants.
Examples of lubricants include magnesium stearate, calcium stearate, stearic acid, sodium stearyl fumarate, hydrogenated castor oil, and mixtures thereof. A preferred lubricant is magnesiuzn stearate or sodium stearyl fumarate or a mixture thereof. Examples of glidants include colloidal silicon dioxide, calcium phosphate tribasic, magnesium silicate, and talc.
The pharmaceutical compositions of the present invention optionally contain one or more binding agents. Embodiments of binding agents include hydroxypropylcellulose (HPC), hydroxypropylmethyl cellulose (HMPC), hydroxyethyl cellulose, starch 1500, polyvinylpyrrolidone (povidone), and co-povidone. A preferred binding agent is polyvinylpyrrolidone.
The pharmaceutical compositions of the present invention may also optionally contain one or more diluents. Examples of diluents include mannitol, sorbitol, dibasic calcium phosphate dihydrate, microcrystalline cellulose, and powdered cellulose. A preferred diluent is microcrystalline cellulose. Microcrystalline cellulose is available from several suppliers and includes Avicel PH 101, Avicel PH 102, Avicel, PH 103, Avicel PH 105, and Avicel PH 200, manufactured by the FMC
Corporation.
The pharmaceutical compositions of the, present invention may also optionally coritain a disintegrant. The disintegrant may be one of several modified starches, modified cellulose polymers, or polycarboxylic acids, such as croscarmellose sodium, sodium starch glycollate, polacrillin potassium, and carboxymethylcellulose calcium (CMC Calcium). In one embodiment, the disintegrant is croscarmellose sodium. Croscarmellose sodium NF Type A is commercially available under the trade name "Ac-di-sol."
The pharmaceutical compositions of the present invention may also optionally contain one or more surfactants or wetting agents. The surfactant may be anionic, cationic, or neutral. Anionic surfactants include sodium lauryl sulfate, sodium dodecanesulfonate, sodium oleyl sulfate, and sodium laurate mixed with stearates and talc. Cationic surfactants include benzalkonium chlorides and alkyltrimethylammonium bromides. Neutral surfactants include glyceryl monooleate, polyoxyethylene sorbitan fatty acid esters, polyvinyl alcohol, and sorbitan esters.
Embodiments of wetting agents include poloxamer, polyoxyethylene alkyl ethers, polyoxyethylene castor oil derivatives, and polyoxyethylene stearates.
An anti-oxidant may optionally be added to the formulation to impart chemical stability.
The anti-oxidant is selected from the group consisting of a-tocopherol, -y-tocopherol, S-tocopherol, extracts of natural origin rich in tocopherol, L-ascorbic acid and its sodium or calcium salts, ascorbyl palmitate, propyl gallate, octyl gallate, dodecyl gallate, butylated hydroxytoluene (BHT), and butylated hydroxyanisole (BHA). In one embodiment, the antioxidant is BHT or BHA.
Preferred dosage forms for the pharmaceutical compositions of the present invention are tablets which are prepared by compression methods. Such tablets may be film-coated such as with a mixture of hydroxypropylcellulose and hydroxypropylmethylcellulose containing, titanium dioxide and/or other coloring agents, such as iron oxides, dyes, and lakes; a mixture of polyvinyl alcohol (PVA) and polyethylene glycol (PEG) containing titanium dioxide and/or other coloring agents, such as iron oxides, dyes, and lakes; or any other suitable immediate-release film-coating agent(s). The coat provides taste masking and additional stability to the final tablet. A commercial filrim-coat is Opadry which is a formulated powder blend provided by Colorcon.
Finally, a sweetening agent and/or flavoring agent may be added if desired.
In one embodiment of the present invention, the pharmaceutical compositions contain about 3 to 20 % by weight of a DPP-4 inhibitor as one of the two pharmaceutically active ingredients; about 25 to 94 % by weight of inetformin hydrochloride as the second pharmaceutically active ingredient; about 0 to 35 % by weight of a binding agent; and about 0.1to 10 % by weight of a lubricant. In a class of this embodiment the binding agent is polyvinylpyrrolidone or hydroxypropylcellulose, and the lubricant is magnesium stearate or sodium stearyl fumarate. In a subclass of this class, the binding agent is polyvinylpyrrolidone, and the lubricant is sodium stearyl fumarate. In another class the pharmaceutical compositions optionally contain about 0 to 3 ,/o by weight of a surfactant and/or about 0 to 70 %.by weight of a diluent. In a subclass of this class, the surfactant is sodium lauryl sulfate and the diluent is microcrystalline cellulose.
In a second embodiment the pharmaceutical compositions of the present invention are prepared by wet granulation methods and comprise about 5 to 18 % by weight of a DPP-4 inhibitor as one of the two pharmaceutically active ingredients; about 65 to 77 % by weight of metforrnin hydrochloride as the second pharmaceutically active ingredient;
about 4 to 9% by weight of a binding agent; and about 1 to 2 % by weight of a lubricant. In a class of this embodiment the binding agent is polyvinylpyrrolidone or hydroxypropylcellulose, and the lubricant is magnesium stearate or sodium stearyl fumarate. In a subclass of this class, the binding agent is polyvinylpyrrolidone. In another class the pharmaceutical compositions optionally contain about 0.5 to 1 % to by weight of a surfactant and/or about 5 to 15 % by weight of a diluent. In a subclass of this class, the surfactant is sodium lauryl sulfate and the diluent is microcrystalline cellulose.
In a further embodiment of the present invention, the pharmaceutical compositions as envisioned for cbmmercial development are as follows:
Tablets of 50 mg DPP-4 inhibitor/500 mg metformin HCI potency:
About 9 % by weight of the DPP-4 inhibitor; about 73 % by weight of metformin hydrochloride; about 7 % by weight of a binding agent; about 1 to 2 /o by weight of a lubricant; and optionally about 10 % by weight of a diluent and/or about 0.5 % by weight of a surfactant. In a class of this embodiment the DPP-4 inhibitor is sitagliptin, vildagliptin, or saxagliptin; the binding agent is polyvinylpyrrolidone, the lubricant is magnesium stearate or sodium stearyl fumarate, the diluent is microcrystalline cellulose, and the surfactant is sodium lauryl sulfate. In a subclass of this class, the DPP-4 inhibitor is sitagliptin.
Tablets of 50 ing DPP-4 inhibitor/850 mg metformin HCI potency:
About 6 % by weight of the DPP-4 inhibitor; about 76 % by weight of inetformin hydrochloride; about 7 % by weight of a binding agent; about 1 to 2 % by weight of a lubricant; and optionally about 10 % by weight of a diluent and/or about 0.5 % by weight of a surfactant. In a class of,;
this embodiment the DPP-4_inhibitor is sitagliptin, vildagliptin, or saxagliptin; the binding agent is polyvinylpyrrolidone, the lubricant is magnesium stearate or sodium stearyl fumarate, the diluent is microcrystalline cellulose, and the surfactant is sodium lauryl sulfate. In a subclass the DPP-4 inhibitor is sitagliptin.
Tablets of 50 mg DPP-4 inhibitor/1000 mq metformin HCI potency:
About 5 % by weight of the DPP-4 inhibitor; about 77 0 by weight of metformin hydrochloride; about 7 % by weight of a binding agent; about 1 to 2 % by weight of a lubricant; and optionally about 10 % by weight of a diluent and/or about 0.5 % by weight of a surfactant. In a class of this embodiment the DPP-4 inhibitor is sitagliptin, vildagliptin, or saxagliptin; the binding agent is polyvinylpyrrolidone, the lubricant is magnesium stearate or sodium stearyl fumarate, the diluent is microcrystalline cellulose., and the surfactant is sodium lauryl sulfate. In a subclass the DPP-4 inhibitor is sitagliptin.
Tablets of 100 mg DPP-4 inhibitor/500 mg metformin HCI potency:
About 17 % by weight of the DPP-4 inhibitor; about 65 % by weight of metformin hydrochloride; about 7 % by weight of a binding agent; about 1 to 2 1o by weight of a lubricant; and optionally about 9 1o by weight of a diluent and/or about 0.5 % by weight of a surfactant. In a class of this embodiment the DPP-4 inhibitor is sitagliptin, vildagliptin, or saxagliptin; the binding agent is polyvinylpyrrolidone, the lubricant is magnesium stearate or sodium stearyl fumarate, the diluent is microcrystalline cellulose, and the surfactant is sodium lauryl sulfate. In a subclass the DPP-4 inhibitor is sitagliptin.
Tablets of 100 mp., DPP-4 inhibitor/850 mg metformin HCI potency:
About 11% by weight of the DPP-4 inhibitor; about 75 % by weight of inetformin hydrochloride; about 7 % by weight of a binding agent; about 1 to 2 % by weight of a lubricant; and optionally about 4% by weight of a diluent and/or about 0.5 % by weight of a surfactant. In a class of this embodiment the DPP-4 inhibitor is sitagliptin, vildagliptin, or saxagliptin; the binding agent is polyvinylpyrrolidone, the lubricant is magnesium stearate or sodium stearyl fumarate, the diluent is microcrystalline cellulose, and the surfactant is sodium lauryl sulfate. In a subclass the DPP-4 inhibitor is sitagliptin.
Tablets of 100 mg DPP-4 inhibitor/1000 mg metformin HCI t2otency:
About,10 % by weight of the DPP-4 inhibitor; about 77% by weight of inetfornin hydrochloride; about 7 fo by weight of a binding agent; about 1 to 2 % by weight.of a lubricant; and optionally about 4% by weight of a diluent and/or about 0.5 % by weight of a surfactant. In a class of this embodiment the DPP-4 inhibitor is sitagliptin, vildagliptin, or saxagliptin; the binding agent is polyvinylpyrrolidone, the lubricant is magnesium stearate or sodium stearyl fumarate, the diluent is microcrystalline cellulose, and the surfactant is sodium lauryl sulfate. In a subclass the DPP-4 inhibitor is sitagliptin.
The pharmaceutical tablet compositions of the present invention may also contain one or more additionaI'formulation ingredients selected from a wide variety of excipients known in the pharmaceutical formulation art. According to the desired properties of the pharmaceutical composition, any number of ingredients may be selected, alone or in combination, based upon their known uses in preparing tablet compositions. Such ingredients include, but are not limited to, diluents, compression aids,, glidants, disintegrants, lubricants, flavors, flavor enhancers, sweeteners, and preservatives.
The term "tablet " as used herein is intended to encompass compressed pharmaceutical dosage formulations of all shapes and sizes, whether.coated or uncoated.
Substances which may be used for coating include hydroxypropylcellulose, hydroxypropylmethylcellulose, titanium dioxide, tale, sweeteners, colorants, and flavoring agents.
In one embodiment the pharmaceutical compositions of the present invention are prepared by wet granulation (high shear and/or fluid bed). Granulation is a process in which binding agent is added either through the granulating solution or through addition to the granulating bowl to form granules. The steps involved in the wet granulation method comprise the following:
(1) the active pharmaceutical ingredients metformin hydrochloride and the DPP-4 inhibitor are added to the granulating bowl;
(2) optional disintegrants are added to step 1;
(3) for high shear granulation, the binding agent (such as polyvinylpyrrolidone or hydroxypropylcellulose) is added dry to the granulating bowl and dry mixed for a short period followed by the addition of water with or without a surfactant (such as sodium lauryl sulfate). For fluid bed granulation, both active pharmaceutical ingredients are added to the granulator bowl and the granulating solution comprised of binding agent with or without surfactant in water is added upon fluidization;
(4) granules prepared by high shear granulation are tray-dried in an oven or dried in a fluid bed dryer.
For granules prepared by fluid bed granulation, granules are dried in a fluid bed dryer;
(5) dried granules are resized in suitable mill;
(6) optional diluents (such as microcrystalline cellulose and dibasic calcium phosphate dihydrate) are blended with dried granules in a suitable blender;
(7) lubricants or glidants (such as magnesium stearate and sodium stearyl fumarate) are added to the blend from step 6 in a suitable blender;
(8) lubricated granule mixture from step 7 may befilled into bottles, sachets, or capsules or compressed -20 into desired tablet image;
(9) and if desired, the resi.ilting tablets may be film-coated.
The steps involved in the dry processing (direct compression or dry granulation) methods comprise:
(1) the active pharmaceutical ingredients metformin hydrochloride and the DPP-4 inhibitor are added to a suitable blender;
(2) optional disintegrants are added to step 1;
(3) optional binders and/or diluents are added to step 2;
(4) lubricants or glidants are added to step 3;
(5) mixture from step 4 may be filled into bottles, sachets, or, capsules or compressed into desired tablet image, or processed through a roller compactor;
(6) if processed through a roller compaction, granules may be resized in a suitable mill, if necessary;
(7) optional diluents may be added to the resulting granules, in a suitable blender to improve compaction properties (8) optional lubricants or glidants are added to the blend from step 7;
(9) lubricated granule mixture from step 8 may be filled into bottles, sachets, or capsules or compressed into desired tablet image;
The steps involved in the dry processing (direct compression or dry granulation) methods comprise:
(1) the active pharmaceutical ingredients metformin hydrochloride and the DPP-4 inhibitor are added to a suitable blender;
(2) optional disintegrants are added to step 1;
(3) optional binders and/or diluents are added to step 2;
(4) lubricants or glidants are added to step 3;
(5) mixture from step 4 may be filled into bottles, sachets, or, capsules or compressed into desired tablet image, or processed through a roller compactor;
(6) if processed through a roller compaction, granules may be resized in a suitable mill, if necessary;
(7) optional diluents may be added to the resulting granules, in a suitable blender to improve compaction properties (8) optional lubricants or glidants are added to the blend from step 7;
(9) lubricated granule mixture from step 8 may be filled into bottles, sachets, or capsules or compressed into desired tablet image;
(10) and if desired, the resulting tablets from step 5 or step 9 may be film-coated.
The present invention also provides methods for treating Type 2 diabetes by orally administering to a host in need of such treatment a therapeutically effective amount of one of the fixed-dose combination pharmaceutical compositions of the present invention. In one embodiment the host in need of such treatment is a human. In another embodiment the pharmaceutical composition is in the dosage form of a tablet. The pharmaceutical compositions comprising the fixed-dose combination may be administered once-daily (QD), twice-daily (BID), or thrice-daily (TID).
The following examples further describe and demonstrate embodiments within the scope of the present invention. The examples are given solely for the purpose of illustration and are not intended to be construed as limitations of the present invention as many variations thereof are possible without departing from the spirit and scope of the invention.
Fixed-dose combination of 50 milliQrams sitagliptin and 500 milligrams metformin hydrochloride/per tablet - wet granulation Sitag li tiri hos hate riionoh drate 64.25 mg*
Metformin hydrochloride 500 mg Pol in l olidone 48.2 mg Sodium lau l sulfate SLS 3.45 mg =
Microc stalline cellulose Avicel PH-102) 59.3 mg Sodium stearyl fumarate 13.8 m Purified water for granulation step** 39.8 mg for high shear or 354 mg for fluid bed O adry II 17.2 mg Purified water for coating ste ** 68.9 m * Equivalent to 50 mg of sitagliptin free base anhydrate_ ** Rernoved during processing.
Method.of Manufacture:
SitagIiptin phosphate monohydrate and metformin hydrochloride were loaded into a high shear granulator.or a fluid bed granulator: In the case of high shear granulation, purified water containing sodium lauryl sulfate was added to the APIs, in addition to the polyvinylpyrrolidone binding agent over a period of 3-5 minutes. The wetted mass was either tray dried at 40 C or dried in a fluid-bed dryer at an inlet temperature of 45-60 C for 3-6 minutes. In the case of fluid bed granulation, purified water containing polyvinylpyrrolidone and sodium lauryl sulfate was added to APIs over a period of 30-60 minutes. The wetted mass was dried in a fluid-bed dryer at an inlet temperature of 45-60 C. The dried material was then milled using a co-mill to achieve fine granules. After milling, microcrystalline cellulose was added to the granules and blended in a twin shell-blender for 200 revolutions. The lubricant (sodium stearyl fumarate) was then added and blended an additional 100 revolutions. The lubricated mixture was compressed using a rotary tablet press to provide a 689 mg uncoated tablet. The tablets were optionally coated with Opadry II suspension (polyvinyl alcohol, polyethylene glycol, titanium dioxide, and talc, with or without colorants) to an approximate 2.5%
weight gain to provide a 706 mg coated tablet.
Fixed-dose combination of 50 milligrams sitagliptin and 850 milligrams metformin hydrochloride/per tablet - wet granulation Sitagliptin phosphate monohydrate 64.25 mg*
Metformin hydrochloride 850 mg Polyvinylpyrrolidone 78.2 mg Sodium lauryl sulfate (SLS) 5.60 mg Microcrystalline cellulose (Avicel PH-102 96.1 mg Sodium stearyl fumarate 22.3 mg Purified water for granulation step** 64.9 mg for high shear or 573 mg for fluid bed adry 11 27.9 mg Purified water for coating step** 112 mg * Equivalent to 50 mg of sitagliptin free base anhydrate.
** Removed during processing. "
Method of Manufacture:
Tablets were prepared by wet-granulation using essentially the procedure of Example 1 to provide a 1117 mg uncoated tablet. The tablets were optionally coated with 27.9 mg of a standard ' Opadry II film-coat formula to provide a 1145 mg coated tablet.
20.
EXAIy1PLE 3 Fixed-dose combination of 50 milligrams sitagliptin and 1000 milligrams inetformin hydrochloride/per tablet - wet granulation Sita li tin phosphate monohydrate 64.25 mg*
Metformin hydrochloride 1000 m Pol n 1 olidone 91.0 mg Sodium lauryl sulfate (SLS) 6.50 mg Microcrystalline cellulose (Avicel PH-102) 112.3 mg Sodium stearyl fumarate 26 mg Purified water for granulation step** 75.5 mg for high shear or 667 mg for fluid bed ade II 32.5 mg Purified water for coating step** 130 mg * Equivalent to 50 mg of sitagliptin free base anhydrate.
** Removed during processing.
Method of Manufacture:
Tablets were prepared by wet-granulation using essentially the procedure of Example 1 to provide a 1300 mg uncoated tablet. The tablets were optionally coated with an Opadry II suspension (polyvinyl alcohol, polyethylene glycol; titanium dioxide, and talc, with or without colorants) to an approximate 2.5% weight gain to provide a 1333 mg coated tablet.
Fixed-dose combination of 50 milligrams sitagliptin and 500 milligrams metformin hydrochloride/per tablet - wet Qranulation Sitagliptin phosphate monohydrate 64.25 m*
Metformin hydrochloride 500 mg Pol n 1 olidone 48.2 mg Microcrystalline cellulose (Avicel PH-102) 69.6 mg Magnesium stearate 6.89 Purified water for granulation step** 39.8 mg for high shear or 354 mg for fluid bed O ad II 17.2 mg Purified water for coating step** 68.9 mg * Equivalent to 50 mg of sitagliptin free base anhydrate.
** Removed during processing.
Method of Manufacture:
Sitagliptin phosphate monohydrate and metformin hydrochloride were loaded into a high shear granulator or a fluid bed granulator. In the case of high shear granulation, purified water was added to the APIs, in addition to the polyvinylpyrrolidone binding agent'over a period of 3-5 minutes.
The wetted mass was either tray dried at 40 C or dried in a fluid-bed dryer at an inlet temperature of 45-60 C for 3-6 minutes. In the case of fluid bed granulation, purified water containing polyvinylpyrrolidone was added to APIs over a period of 30-60 minutes. The wetted mass was dried in a fluid-bed dryer at an inlet temperature of 45-60 C. The dried material was then milled using a co-mill to achieve fine granules. After milling, microcrystalline cellulose was added to the granules and blended in a twin shell-blender for 200 revolutions. The lubricant (magnesium stearate) was then added and blended an additional 100 revolutions. The lubricated mixture was compressed using a rotary tablet press to provide a 689 mg uncoated tablet. The tablet was then optionally film-coated with an Opadry II
suspension (polyvinyl alcohol, polyethylene glycol, titanium dioxide, and talc, with or without colorants) to an approximate 2.5% weight gain to provide a 706 mg coated tablet.
Fixed-dose combination of 50 milligrams sitagliptin and 1000 milligrams metformin hydrochloride/per tablet - wet granulation Sita li tin hos hate monohydrate 64.25 mg*
Metformin hydrochloride 1000 mg Polyvinylp olidone 91.0 m' Microcrystalline cellulose (Avicel PH-102 125.25 mg Magnesium stearate 13.0 Sodium lauryl sulfate 6.5 Purified water for granulation step** 75.5 mg for high shear or 667 mg for fluid bed O adry II 32.5 mg Purified water for coating step** 130 mg 1 S * Equivalent to 50 mg of sitagliptin free base anhydrate.
** Removed during processing.
Method of Manufacture:
Sitagliptin phosphate monohydrate and metformin hydrochloride were loaded into'a high 20. shear granulator or a fluid bed granulator. In the case of high shear granulation, purified water containing sodium lauryl sulfate was added to the APIs, in addition to the polyvinylpyrrolidone binding agent over a period of 3-5 minutes. The wetted mass was either tray dried at 40 C or dried in a fluid-bed, dryer at an inlet temperature of 45-60 C for 3-6 minutes. In the case of fluid bed granulation, purified water containing polyvinylpyrrolidone and sodium lauryl sulfate was added to APIs over a period of 30-25 60 minutes. The wetted mass was dried in a fluid-bed dryer at an inlet temperature of 45-60 C. The dried material was then milled using a co-mill to achieve fine granules_ After milling, microcrystalline cellulose was added to the granules and blended in a twin shell-blender for 200 revolutions. The lubricant (magnesium stearate) was then added and blended an additional 100 revolutions. The lubricated mixture was compressed using a rotary tablet press to provide a 1300 mg uncoated tablet. The tablet was then optionally film-coated with an Opadry II suspension (polyvinyl alcohol, polyethylene glycol, titanium dioxide, and talc, with or without colorants) to an approximate 2.5% weight gain to provide a 1333 mg coated tablet.
Fixed-dose combination of 100 milligrams sitagliptin and 1000 milligrams metformin hvdrochloride/per tablet - wet granulation Sitag li tin phosphate monohydrate 128.5 m*
Metformin hydrochloride 1000 mg Pol n 1 olidone 91.0 mg Sodium lauryl sulfate (SLS) 6.50 mg Microcrystalline cellulose (Avicel PH-102 48 mg Sodium stearyl fumarate 26 mg Purified water** 667 mg * Equivaleint to 100 mg of sitagliptin free base anhydrate.
** Removed during processing.
Method of Manufacture:
Tablets were prepared by fluid-bed granulation using essentially the procedure of Example 1 to provide a 1300 mg uncoated tablet.
Fixed-dose combination of 100 milligrams sitagliptin and 500 milliga-ams metformin hydrochloride/per tablet - wet granulation Sita li tin phosphate monohydrate 128.5 mg*
Metformin h drochloride 500 mg Pol in 1 yrrolidone 53.8 mg Sodium lauryl sulfate (SLS) '. 3.84 mg Microc stalline cellulose (Avicel PH-102 66.5 mg Sodium stearyl fumarate 15.4 mg Purified water** 394 mg * Equivalent to 50 mg of sitagliptin free base anhydrate.
Removed during processing.
The present invention also provides methods for treating Type 2 diabetes by orally administering to a host in need of such treatment a therapeutically effective amount of one of the fixed-dose combination pharmaceutical compositions of the present invention. In one embodiment the host in need of such treatment is a human. In another embodiment the pharmaceutical composition is in the dosage form of a tablet. The pharmaceutical compositions comprising the fixed-dose combination may be administered once-daily (QD), twice-daily (BID), or thrice-daily (TID).
The following examples further describe and demonstrate embodiments within the scope of the present invention. The examples are given solely for the purpose of illustration and are not intended to be construed as limitations of the present invention as many variations thereof are possible without departing from the spirit and scope of the invention.
Fixed-dose combination of 50 milliQrams sitagliptin and 500 milligrams metformin hydrochloride/per tablet - wet granulation Sitag li tiri hos hate riionoh drate 64.25 mg*
Metformin hydrochloride 500 mg Pol in l olidone 48.2 mg Sodium lau l sulfate SLS 3.45 mg =
Microc stalline cellulose Avicel PH-102) 59.3 mg Sodium stearyl fumarate 13.8 m Purified water for granulation step** 39.8 mg for high shear or 354 mg for fluid bed O adry II 17.2 mg Purified water for coating ste ** 68.9 m * Equivalent to 50 mg of sitagliptin free base anhydrate_ ** Rernoved during processing.
Method.of Manufacture:
SitagIiptin phosphate monohydrate and metformin hydrochloride were loaded into a high shear granulator.or a fluid bed granulator: In the case of high shear granulation, purified water containing sodium lauryl sulfate was added to the APIs, in addition to the polyvinylpyrrolidone binding agent over a period of 3-5 minutes. The wetted mass was either tray dried at 40 C or dried in a fluid-bed dryer at an inlet temperature of 45-60 C for 3-6 minutes. In the case of fluid bed granulation, purified water containing polyvinylpyrrolidone and sodium lauryl sulfate was added to APIs over a period of 30-60 minutes. The wetted mass was dried in a fluid-bed dryer at an inlet temperature of 45-60 C. The dried material was then milled using a co-mill to achieve fine granules. After milling, microcrystalline cellulose was added to the granules and blended in a twin shell-blender for 200 revolutions. The lubricant (sodium stearyl fumarate) was then added and blended an additional 100 revolutions. The lubricated mixture was compressed using a rotary tablet press to provide a 689 mg uncoated tablet. The tablets were optionally coated with Opadry II suspension (polyvinyl alcohol, polyethylene glycol, titanium dioxide, and talc, with or without colorants) to an approximate 2.5%
weight gain to provide a 706 mg coated tablet.
Fixed-dose combination of 50 milligrams sitagliptin and 850 milligrams metformin hydrochloride/per tablet - wet granulation Sitagliptin phosphate monohydrate 64.25 mg*
Metformin hydrochloride 850 mg Polyvinylpyrrolidone 78.2 mg Sodium lauryl sulfate (SLS) 5.60 mg Microcrystalline cellulose (Avicel PH-102 96.1 mg Sodium stearyl fumarate 22.3 mg Purified water for granulation step** 64.9 mg for high shear or 573 mg for fluid bed adry 11 27.9 mg Purified water for coating step** 112 mg * Equivalent to 50 mg of sitagliptin free base anhydrate.
** Removed during processing. "
Method of Manufacture:
Tablets were prepared by wet-granulation using essentially the procedure of Example 1 to provide a 1117 mg uncoated tablet. The tablets were optionally coated with 27.9 mg of a standard ' Opadry II film-coat formula to provide a 1145 mg coated tablet.
20.
EXAIy1PLE 3 Fixed-dose combination of 50 milligrams sitagliptin and 1000 milligrams inetformin hydrochloride/per tablet - wet granulation Sita li tin phosphate monohydrate 64.25 mg*
Metformin hydrochloride 1000 m Pol n 1 olidone 91.0 mg Sodium lauryl sulfate (SLS) 6.50 mg Microcrystalline cellulose (Avicel PH-102) 112.3 mg Sodium stearyl fumarate 26 mg Purified water for granulation step** 75.5 mg for high shear or 667 mg for fluid bed ade II 32.5 mg Purified water for coating step** 130 mg * Equivalent to 50 mg of sitagliptin free base anhydrate.
** Removed during processing.
Method of Manufacture:
Tablets were prepared by wet-granulation using essentially the procedure of Example 1 to provide a 1300 mg uncoated tablet. The tablets were optionally coated with an Opadry II suspension (polyvinyl alcohol, polyethylene glycol; titanium dioxide, and talc, with or without colorants) to an approximate 2.5% weight gain to provide a 1333 mg coated tablet.
Fixed-dose combination of 50 milligrams sitagliptin and 500 milligrams metformin hydrochloride/per tablet - wet Qranulation Sitagliptin phosphate monohydrate 64.25 m*
Metformin hydrochloride 500 mg Pol n 1 olidone 48.2 mg Microcrystalline cellulose (Avicel PH-102) 69.6 mg Magnesium stearate 6.89 Purified water for granulation step** 39.8 mg for high shear or 354 mg for fluid bed O ad II 17.2 mg Purified water for coating step** 68.9 mg * Equivalent to 50 mg of sitagliptin free base anhydrate.
** Removed during processing.
Method of Manufacture:
Sitagliptin phosphate monohydrate and metformin hydrochloride were loaded into a high shear granulator or a fluid bed granulator. In the case of high shear granulation, purified water was added to the APIs, in addition to the polyvinylpyrrolidone binding agent'over a period of 3-5 minutes.
The wetted mass was either tray dried at 40 C or dried in a fluid-bed dryer at an inlet temperature of 45-60 C for 3-6 minutes. In the case of fluid bed granulation, purified water containing polyvinylpyrrolidone was added to APIs over a period of 30-60 minutes. The wetted mass was dried in a fluid-bed dryer at an inlet temperature of 45-60 C. The dried material was then milled using a co-mill to achieve fine granules. After milling, microcrystalline cellulose was added to the granules and blended in a twin shell-blender for 200 revolutions. The lubricant (magnesium stearate) was then added and blended an additional 100 revolutions. The lubricated mixture was compressed using a rotary tablet press to provide a 689 mg uncoated tablet. The tablet was then optionally film-coated with an Opadry II
suspension (polyvinyl alcohol, polyethylene glycol, titanium dioxide, and talc, with or without colorants) to an approximate 2.5% weight gain to provide a 706 mg coated tablet.
Fixed-dose combination of 50 milligrams sitagliptin and 1000 milligrams metformin hydrochloride/per tablet - wet granulation Sita li tin hos hate monohydrate 64.25 mg*
Metformin hydrochloride 1000 mg Polyvinylp olidone 91.0 m' Microcrystalline cellulose (Avicel PH-102 125.25 mg Magnesium stearate 13.0 Sodium lauryl sulfate 6.5 Purified water for granulation step** 75.5 mg for high shear or 667 mg for fluid bed O adry II 32.5 mg Purified water for coating step** 130 mg 1 S * Equivalent to 50 mg of sitagliptin free base anhydrate.
** Removed during processing.
Method of Manufacture:
Sitagliptin phosphate monohydrate and metformin hydrochloride were loaded into'a high 20. shear granulator or a fluid bed granulator. In the case of high shear granulation, purified water containing sodium lauryl sulfate was added to the APIs, in addition to the polyvinylpyrrolidone binding agent over a period of 3-5 minutes. The wetted mass was either tray dried at 40 C or dried in a fluid-bed, dryer at an inlet temperature of 45-60 C for 3-6 minutes. In the case of fluid bed granulation, purified water containing polyvinylpyrrolidone and sodium lauryl sulfate was added to APIs over a period of 30-25 60 minutes. The wetted mass was dried in a fluid-bed dryer at an inlet temperature of 45-60 C. The dried material was then milled using a co-mill to achieve fine granules_ After milling, microcrystalline cellulose was added to the granules and blended in a twin shell-blender for 200 revolutions. The lubricant (magnesium stearate) was then added and blended an additional 100 revolutions. The lubricated mixture was compressed using a rotary tablet press to provide a 1300 mg uncoated tablet. The tablet was then optionally film-coated with an Opadry II suspension (polyvinyl alcohol, polyethylene glycol, titanium dioxide, and talc, with or without colorants) to an approximate 2.5% weight gain to provide a 1333 mg coated tablet.
Fixed-dose combination of 100 milligrams sitagliptin and 1000 milligrams metformin hvdrochloride/per tablet - wet granulation Sitag li tin phosphate monohydrate 128.5 m*
Metformin hydrochloride 1000 mg Pol n 1 olidone 91.0 mg Sodium lauryl sulfate (SLS) 6.50 mg Microcrystalline cellulose (Avicel PH-102 48 mg Sodium stearyl fumarate 26 mg Purified water** 667 mg * Equivaleint to 100 mg of sitagliptin free base anhydrate.
** Removed during processing.
Method of Manufacture:
Tablets were prepared by fluid-bed granulation using essentially the procedure of Example 1 to provide a 1300 mg uncoated tablet.
Fixed-dose combination of 100 milligrams sitagliptin and 500 milliga-ams metformin hydrochloride/per tablet - wet granulation Sita li tin phosphate monohydrate 128.5 mg*
Metformin h drochloride 500 mg Pol in 1 yrrolidone 53.8 mg Sodium lauryl sulfate (SLS) '. 3.84 mg Microc stalline cellulose (Avicel PH-102 66.5 mg Sodium stearyl fumarate 15.4 mg Purified water** 394 mg * Equivalent to 50 mg of sitagliptin free base anhydrate.
Removed during processing.
Method of Manufacture:
Tablets were prepared by fluid-bed granulation using essentially the procedure of Example 1 to provide a 768 mg uncoated tablet.
Tablets were prepared by fluid-bed granulation using essentially the procedure of Example 1 to provide a 768 mg uncoated tablet.
Claims (22)
1. A pharmaceutical composition comprising:
(a) about 3 to 20 % by weight of a dipeptidyl peptidase-4 (DPP-4) inhibitor or a pharmaceutically acceptable salt thereof;
(b) about 25 to 94 % by weight of metformin hydrochloride;
(c) about 0.1 to 10 % by weight of a lubricant; and (d) about 0 to 35 % by weight of a binding agent.
(a) about 3 to 20 % by weight of a dipeptidyl peptidase-4 (DPP-4) inhibitor or a pharmaceutically acceptable salt thereof;
(b) about 25 to 94 % by weight of metformin hydrochloride;
(c) about 0.1 to 10 % by weight of a lubricant; and (d) about 0 to 35 % by weight of a binding agent.
2. The pharmaceutical composition of Claim 1 additionally comprising one or more excipients selected from the group consisting of (a) diluent; (b) a disintegrant; (c) a surfactant; (d) a wetting agent; and (e) an anti-oxidant.
3. The pharmaceutical composition of Claim 1 comprising:
(a) about 5 to 18 % by weight of a DPP-4 inhibitor or a pharmaceutically acceptable salt thereof;
(b) about 65 to 77 % by weight of metformin hydrochloride;
(c) about 1 to 2 % by weight of a lubricant;. and (d) about 4 to 9 % by weight of a binding agent.
(a) about 5 to 18 % by weight of a DPP-4 inhibitor or a pharmaceutically acceptable salt thereof;
(b) about 65 to 77 % by weight of metformin hydrochloride;
(c) about 1 to 2 % by weight of a lubricant;. and (d) about 4 to 9 % by weight of a binding agent.
4. The pharmaceutical composition of Claim 3 additionally comprising about 0.5 to 1% by weight of a surfactant and/or about 5 to 15 % by weight of a diluent.
5. The pharmaceutical composition of Claim 3 wherein said lubricant is magnesium stearate or sodium stearyl fumarate, and the binding agent is polyvinylpyrrolidone.
6. The pharmaceutical composition of Claim 3 comprising:
(a) about 9 % by weight of a DPP-4 inhibitor or a pharmaceutically acceptable salt thereof;
(b) about 73 % by weight of metformin hydrochloride;
(c) about 1 to 2% by weight of a lubricant; and (d) about 7% by weight of a binding agent.
(a) about 9 % by weight of a DPP-4 inhibitor or a pharmaceutically acceptable salt thereof;
(b) about 73 % by weight of metformin hydrochloride;
(c) about 1 to 2% by weight of a lubricant; and (d) about 7% by weight of a binding agent.
7. The pharmaceutical composition of Claim 6 additionally comprising about 0.5 %
by weight of a surfactant and/or about 10 % by weight of a diluent.
by weight of a surfactant and/or about 10 % by weight of a diluent.
8. The pharmaceutical composition of Claim 3 comprising (a) about 5 % by weight of a DPP-4 inhibitor or a pharmaceutically acceptable salt thereof;
(b) about 77 % by weight of metformin hydrochloride;
(c) about 1 to 2 % by weight of a lubricant; and (d) about 7 % by weight of a binding agent.
(b) about 77 % by weight of metformin hydrochloride;
(c) about 1 to 2 % by weight of a lubricant; and (d) about 7 % by weight of a binding agent.
9. The pharmaceutical composition of Claim 8 additionally comprising about 0.5 %
by weight of a surfactant and/or about 10 % by weight of a diluent.
by weight of a surfactant and/or about 10 % by weight of a diluent.
10. The pharmaceutical composition of Claim 3 wherein said DPP-4 inhibitor is selected from the group consisting of sitagliptin, vildaghptin, and saxagliptin, and pharmaceutically acceptable salts of each thereof.
11. The pharmaceutical composition of Claim 10 wherein said DPP-4 inhibitor is sitagliptin or the dihydrogenphosphate salt thereof.
12. A pharmaceutical composition comprising:
(a) a DPP-4 inhibitor present in a unit dosage strength of 25 to 200 milligrams;
(b) metformin hydrochloride present in a unit dosage strength of 250, 500, 625, 750, 850, or 1000 milligrams;
(c) about 1 to 2 % by weight of a lubricant;
(d) about 7 % by weight of a binding agent; and optionally (e) about 10 % by weight of a diluent; and optionally (f) about 0.5 % by weight of a surfactant.
(a) a DPP-4 inhibitor present in a unit dosage strength of 25 to 200 milligrams;
(b) metformin hydrochloride present in a unit dosage strength of 250, 500, 625, 750, 850, or 1000 milligrams;
(c) about 1 to 2 % by weight of a lubricant;
(d) about 7 % by weight of a binding agent; and optionally (e) about 10 % by weight of a diluent; and optionally (f) about 0.5 % by weight of a surfactant.
13. The pharmaceutical composition of Claim 12 wherein said DPP-4 inhibitor is sitagliptin, said lubricant is sodium stearyl fumarate, said binding agent is polyvinylpyrrolidone, said optional diluent is microcrystalline cellulose, and said optional surfactant is sodium lauryl sulfate.
14. The pharmaceutical composition of Claim 12 wherein said DPP-4 inhibitor is present in a unit dosage strength of 25, 50, 75, 100, 150, or 200 milligrams, and said metformin hydrochloride is present in a unit dosage strength of 500, 850, or 1000 milligrams.
15. The pharmaceutical composition of Claim 14 wherein said DPP-4 inhibitor is present in a unit dosage strength of 50 milligrams, and said metformin hydrochloride is present in a unit dosage strength of 500, 850, or 1000 milligrams.
16. The pharmaceutical composition of Claim 15 wherein said DPP-4 inhibitor is sitagliptin.
17. The pharmaceutical composition of Claim 16 wherein said sitagliptin is present in a unit dosage strength of 50 milligrams, and said metformin hydrochloride is present in a unit dosage strength of 500 or 1000 milligrams.
18. The pharmaceutical composition of Claim 1 or 14 wherein said composition is in the dosage form of a tablet.
19. A method of treating Type 2 diabetes in a human in need thereof comprising orally administering to said human a pharmaceutical composition of Claim 1 or 14.
20. The pharmaceutical composition of Claim 1 further comprising one or more agents selected from the group consisting of flavoring agents, colorants, and sweeteners.
21. The pharmaceutical composition of Claim 1 or 3 prepared by wet granulation methods.
22. The pharmaceutical composition of Claim 12 wherein said DPP-4 inhibitor is vildagliptin or saxagliptin or a pharmaceutically acceptable salt of each thereof.
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US75095405P | 2005-12-16 | 2005-12-16 | |
| US60/750,954 | 2005-12-16 | ||
| PCT/US2006/047380 WO2007078726A2 (en) | 2005-12-16 | 2006-12-12 | Pharmaceutical compositions of combinations of dipeptidyl peptidase-4 inhibitors with metformin |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CA2633167A1 true CA2633167A1 (en) | 2007-07-12 |
Family
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CA002633167A Abandoned CA2633167A1 (en) | 2005-12-16 | 2006-12-12 | Pharmaceutical compositions of combinations of dipeptidyl peptidase-4 inhibitors with metformin |
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|---|---|
| US (1) | US8414921B2 (en) |
| EP (1) | EP1962827A4 (en) |
| JP (2) | JP5165582B2 (en) |
| CN (1) | CN101365432B (en) |
| AU (1) | AU2006333151B2 (en) |
| CA (1) | CA2633167A1 (en) |
| WO (1) | WO2007078726A2 (en) |
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| WO2013159190A1 (en) * | 2012-04-25 | 2013-10-31 | Inovobiologic, Inc. | Dietary fiber compositions for the treatment of metabolic disease |
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| WO2013159190A1 (en) * | 2012-04-25 | 2013-10-31 | Inovobiologic, Inc. | Dietary fiber compositions for the treatment of metabolic disease |
| US9669051B2 (en) | 2012-04-25 | 2017-06-06 | Inovobiologic Inc. | Dietary fiber compositions with metformin, sitagliptin, or a combination thereof for the treatment of metabolic disease |
Also Published As
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| AU2006333151B2 (en) | 2010-03-04 |
| WO2007078726A2 (en) | 2007-07-12 |
| US20090105265A1 (en) | 2009-04-23 |
| JP5165582B2 (en) | 2013-03-21 |
| JP2013047260A (en) | 2013-03-07 |
| WO2007078726A3 (en) | 2008-06-12 |
| US8414921B2 (en) | 2013-04-09 |
| AU2006333151A1 (en) | 2007-07-12 |
| JP5779566B2 (en) | 2015-09-16 |
| CN101365432B (en) | 2011-06-22 |
| CN101365432A (en) | 2009-02-11 |
| EP1962827A2 (en) | 2008-09-03 |
| EP1962827A4 (en) | 2011-02-16 |
| JP2009519934A (en) | 2009-05-21 |
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